Disease awareness as a barrier to health service admittance. An alternative health care model based on population needs

Gustavo H. Marin; Pablo Vetere; Lupe Marin; Lucia Giangreco; Gladys Garcia; Gina Marin; Juan Alconada-Magliano; Maria Laura Ferrero; Marcelo Bourgeois; Maria Gabriela Madonia; Virginia Moran; Aylen Jáuregui; Aldo Madeo; Silvina Gygli; Cloe Marin; Laura Soibelzon; Eduardo Martinez; Patricia Rivadulla; Maria Raffaeli; Daniela Sbatella; Jorge Agueda; Griselda Haag; Ricardo Wright; Adriana Arinavarreta

doi:10.5114/fmpcr.2021.110360

eISSN: 2449-8580
ISSN: 1734-3402

Family Medicine & Primary Care Review

Current issue Archive Manuscripts accepted About the journal Editorial board Reviewers Subscription Contact Instructions for authors Publication charge Ethical standards and procedures

Editorial System

Submit your Manuscript

Open access

4/2021
vol. 23

Send email

Copy url:

abstract:

Original paper

Disease awareness as a barrier to health service admittance. An alternative health care model based on population needs

Gustavo H. Marin

^{1, 2}

,

Pablo Vetere

¹

,

Lupe Marin

¹

,

Lucia Giangreco

¹

,

Gladys Garcia

¹

,

Gina Marin

¹

,

Juan Alconada-Magliano

¹

,

Maria Laura Ferrero

¹

,

Marcelo Bourgeois

¹

,

Maria Gabriela Madonia

¹

,

Virginia Moran

¹

,

Aylen Jáuregui

¹

,

Aldo Madeo

¹

,

Silvina Gygli

¹

,

Cloe Marin

¹

,

Laura Soibelzon

¹

,

Eduardo Martinez

¹

,

Patricia Rivadulla

¹

,

Maria Raffaeli

¹

,

Daniela Sbatella

¹

,

Jorge Agueda

¹

,

Griselda Haag

¹

,

Ricardo Wright

¹

,

Adriana Arinavarreta

¹

Faculty of Medicine, National University of La Plata, La Plata, Argentina
CONICET – National Scientific and Technical Research Council, La Plata, Argentina

Family Medicine & Primary Care Review 2021; 23(4): 452–458

DOI: https://doi.org/10.5114/fmpcr.2021.110360

Online publish date: 2021/12/30

View full text Get citation

EndNote

Papers, Reference Manager, RefWorks, Zotero

AMA

H. Marin G, Vetere P, Marin L, et al. Disease awareness as a barrier to health service admittance. An alternative health care model based on population needs. Family Medicine & Primary Care Review. 2021;23(4):452-458. doi:10.5114/fmpcr.2021.110360.

APA

H. Marin, G., Vetere, P., Marin, L., Giangreco, L., Garcia, G.,  & Marin, G. et al. (2021). Disease awareness as a barrier to health service admittance. An alternative health care model based on population needs. Family Medicine & Primary Care Review, 23(4), 452-458. https://doi.org/10.5114/fmpcr.2021.110360

Chicago

H. Marin, Gustavo, Pablo Vetere, Lupe Marin, Lucia Giangreco, Gladys Garcia, Gina Marin,  and Juan Alconada-Magliano et al. 2021. "Disease awareness as a barrier to health service admittance. An alternative health care model based on population needs". Family Medicine & Primary Care Review 23 (4): 452-458. doi:10.5114/fmpcr.2021.110360.

Harvard

H. Marin, G., Vetere, P., Marin, L., Giangreco, L., Garcia, G., Marin, G., Alconada-Magliano, J., Laura Ferrero, M., Bourgeois, M., Gabriela Madonia, M., Moran, V., Jáuregui, A., Madeo, A., Gygli, S., Marin, C., Soibelzon, L., Martinez, E., Rivadulla, P., Raffaeli, M., Sbatella, D., Agueda, J., Haag, G., Wright, R.,  and Arinavarreta, A. (2021). Disease awareness as a barrier to health service admittance. An alternative health care model based on population needs. Family Medicine & Primary Care Review, 23(4), pp.452-458. https://doi.org/10.5114/fmpcr.2021.110360

MLA

H. Marin, Gustavo et al. "Disease awareness as a barrier to health service admittance. An alternative health care model based on population needs." Family Medicine & Primary Care Review, vol. 23, no. 4, 2021, pp. 452-458. doi:10.5114/fmpcr.2021.110360.

Vancouver

H. Marin G, Vetere P, Marin L, Giangreco L, Garcia G, Marin G et al. Disease awareness as a barrier to health service admittance. An alternative health care model based on population needs. Family Medicine & Primary Care Review. 2021;23(4):452-458. doi:10.5114/fmpcr.2021.110360.

PlumX metrics:

Background
Knowing how health problems are perceived is an element of primary importance for health systems, since it is the first step for the population to recognize a disease and demand medical attention.

Objectives
To develop and evaluate the implementation of a new healthcare model adapted to the necessities and illness self-perception of a community in the urban area of Greater La Plata, Buenos Aires, Argentina.

Material and methods
The community’s self-rated general health status and illness self-perception were explored by a survey, followed by an intervention study performed on 2,430 participants randomly divided in 2 groups (Intervention: received personalized home health care; Control: health care was provided from hospitals and primary care health services).

Results
Almost 70% of the participants were satisfied with their health status. In cases where a disease was detected; older people and men shown to perceive their illness later compared to women and young adults. Only 21% of the population had suitable access to a health service. Compared with the Control Group, regular and personalized home visits significantly improved treatment adherence (43% vs 94%), reduced annual undesirable events (stroke, myocardial infarcts, etc.) associated to chronic diseases (2.7% vs 1.2%) and lowered hospitalization rates (2.9% vs 2.0%).

Conclusions
The data obtained showed that the population had low illness awareness, which reduced the spontaneous demand of care in health services. A model of health care based on regular home visits demonstrated efficacy in terms of disease prevention, illness control, avoiding consequences of chronic disease and reducing hospitalizations.

keywords:

Disease awareness as a barrier to health service admittance. An alternative health care model based on population needs

health services needs and demand, disease, awareness, delivery of health care, needs assessment